Efficient Government Fund EGF)1)2)50 NHS Care Services Knowledge Management

DescriptionSTATUS - UNSUCCESSFUL - To develop knowledge management technology and staff skills to support integrated care services for children; older people; physical disabilities; mental health; learning disabilities.
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Official Print Publication DateMarch 2005
Website Publication DateJanuary 23, 2006

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    EFFICIENT GOVERNMENT FUND

    Stage 1 application - expression of interest

    Part 1: Summary Table

    Bid number (for EG use)

    Lead bidder

    NHS Education for Scotland:
    Dr Ann Wales, NHS Scotland Knowledge Services Coordinator, ann.wales@nes.scot.nhs.uk; 0141 223 1551

    Brief description of the aims of the project

    Develop knowledge management technology and staff skills to support integrated care services

    for children; older people; physical disabilities; mental health; learning disabilities.

    Build on the infrastructure established for the NHS Scotland e-Library to provide knowledge support for NHS, social work, education, voluntary sectors and the general public in these fields.

    Clear description of what the EGF money would be used to buy

    1. Analysis of requirements for online Knowledge Portal
    2. Analysis of knowledge management skills needs in relevant staff groups
    3. Purchase of content (eg electronic journals, books, databases for Portal).
    4. Technical development of Portal, building on e-Library infrastructure
    5. Establishment of knowledge networks to involve staff in developing knowledge management skills.

    Partners to the project likely to commit resources

    For pilot:

    NHS

    National:NHS Education for Scotland - provide the NHS Scotland e-Library service and lead implementation of the knowledge management strategy for NHS Scotland.

    Local: Child Health Divisions in two NHS Boards to act as pilot sites. NHS Glasgow and NHS Grampian are suggested - in order to focus outreach efforts on high incidence of deprivation and ethnic minority groups in NHS Glasgow and on the remote and rural characteristics of NHS Grampian.

    Social Care

    National: Social Policy Review Unit; Care 21

    Local: Social Work departments in two local authorities to act as pilot sites. Suggest Greater Glasgow; Aberdeen City Council to correspond to proposed NHS Board pilot areas, though it is noted that multiple local authority areas correspond to each NHS Board area.

    Education

    National: would appreciate help.

    Local: Education departments in same two local authorities as social work departments to act as pilot sites.

    Voluntary sector

    National: Voluntary Health Scotland; NCH Scotland?

    Need to be guided by Voluntary Health Scotland and NHS and Local Authority stakeholders as to key voluntary agencies for the areas of child health covered by this pilot.

    For substantive project (following pilot) - As for the pilot project, partners will be drawn from local and national levels in the NHS, social care, education and the voluntary sector. Evaluation will focus on selected NHS Boards and local authority departments, possibly different from those involved in the pilot, to ensure a wider coverage.

    Names of other organisations with whom the project has been discussed (to assist the introductions process)

    We have had some preliminary discussion with Care 21 and the Social Care Policy Unit regarding the potential for building on the NHS knowledge management infrastructure (e-Library and knowledge networks model) to support the needs of social care.

    Evidence that suggested approach has been deployed successfully elsewhere

    Knowledge management strategy for NHS Scotland, led by NHS Education, is founded on the two development areas constituting the basis for this proposal:

    1. Use of technology to enable access to knowledge - in the form of the NHS Scotland e-Library ( www.elib.scot.nhs.uk)
    2. Involving staff in knowledge networks which develop their skills in accessing and using knowledge at work..

    The success of these approaches is demonstrated by the 45,000 users who now access the e-Library monthly. In surveys, over 70% of users recognise that the e-Library has improved practice. Six Knowledge Networks are now in place, supported by senior figures in cancer, coronary heart disease, mental health, diabetes, stroke and healthcare associated infections.

    Are there any restrictions to potential for enlargement of the project ( i.e. technology, number of partners etc)

    No

    Benefits projected from the project

    • Reduction in error and inappropriate or ineffective decision-making, these risks being addressed by timely and effective access to the knowledge base staff in all sectors involved in delivery of these services.
    • Savings in time of care providers, as a result of more efficient access to knowledge sources.
    • Economies of scale resulting from cross-sectoral, consortium purchasing of knowledge content such as electronic journals, books and databases.
    • Savings arising from reduction in duplication of resource through re-use of infrastructure and technology originally established for the NHS Scotland e-Library.

    Overall benefits will be realised in the form of a safe, reliable knowledge support infrastructure, which engages the active participation of all partners involved in delivery of integrated services, and underpins the vital principle of collaborative care.

    Estimated financial projections

    Total

    2005/6

    2006/7

    2007/8

    2008/9

    Overall project cost

    £250K

    £150K

    £640K

    £635K

    Estimated projected benefits

    Estimated cash savings:

    2005/6: £100K minimum

    2006/7: £50K minimum (6 month period)

    2007/8: £400K minimum

    2008/9: £400K minimum

    Estimated benefit from time-savings:

    2005/6: £181,000 (based on savings of £36.22 per visit and 5000 visits)

    2006/7: £108,660 (based on savings of £36.22 per visit and 3000 visits)

    2007/8: £1,448,800 (based on savings of £36.22 per visit and 40,000 visits)

    2008/9: £1,448,800 (based on savings of £36.22 per visit and 40,000 visits)

    Total projected benefit to March 2010: £4,137,260

    Is a pilot required - see guidance notes

    An initial pilot project would focus on knowledge support for children and families in three fields highlighted in "Health for All Children"1 as requiring a fully integrated approach to delivery of services - health promotion; prevention and management of emotional and behavioural disorders; management of special educational needs. The pilot will:

    • Quantify the economic benefits of this integrated, cross-sectoral model of knowledge support.
    • Identify means of targeting knowledge support at areas of greatest need, eg areas challenged by reasons of deprivation, violence and language barriers.
    • Define the modifications to NHS Scotland e-Library and knowledge networks infrastructure required by cross-sectoral working to support integrated care.

    Additionality: why is EG funding required

    • To "pump-prime" developments in a new field of collaboration
    • Lay the groundwork for this new, collaborative approach to knowledge support
    • Provide support for all partners in developing newcross-boundary working models that will ensure the long term success of effective management of knowledge.
    • To provide evidence that will convince all partners, at strategic and frontline levels, of the long term benefits of the collaborative approach.

    Is this project complementary in anyway to other EG work

    Not to our knowledge

    Is "stage 2 development funding" requested?

    No.

      Page updated: Tuesday, July 12, 2005